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From the editor Dear Healthcare Intelligence Network Client,
Employers will have more time to comply with the ACA mandate on insurance coverage, according to a White House blog posted by Valerie Jarrett, senior advisor and assistant to the president for Intergovernmental Affairs and Public Engagement. In response to concern from employers with more than 50 employees working more than 30 hours a week that they would not have enough time to comply with the ruling by 2014, the administration has extended it by a year, and will simplify the reporting process. Plans to open health insurance exchanges on October 1 are still going forward, the administration says. More details can be found inside. Kidney transplant patients who use specialty pharmacies as opposed to retail pharmacies report lower healthcare costs, according to a study published in the Journal of Managed Care Pharmacy. The one-year study conducted by Optum found that those transplant patients using individualized services provided by the pharmacies, including adherence and clinical management programs, member education, and counseling services provided by pharmacists trained in transplant pharmacology, showed 30 percent lower post-transplant-related medical costs and 13 percent lower overall healthcare costs. Medication adherence is one area of transplant medicine that needs improvement, researchers state. While the rate of non-adherence is highest at one to three years post-transplant, it may happen at any point during lifelong therapy. Personal time and contact with patients during care transitions — before and after their hospital discharge — significantly reduces readmission rates, according to a study conducted by the Bronx Collaborative, a group of hospitals and health insurers in the Bronx, N.Y. Among 500 patients who received two or more of four interventions by nurse care transition managers in a special program to manage the transition between hospital and home, only 17.6 percent were readmitted to the hospital within 60 days of discharge versus 26.3 percent among a comparison group of 190 patients who received the current standard of care, the data showed. Another 85 patients who received only one intervention for a variety of reasons had an overall readmission rate of 22.8 percent. More inside on the four interventions. And, if you have the time, please take our latest 10 question survey on Managing the Dually Eligible. Tell us how you're managing this population, which constitutes about 9 million individuals who are eligible for both Medicaid and Medicare in the United States, and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential. Your colleague in the business of healthcare,Cheryl Miller Editor, Healthcare Business Weekly Update Please send comments, questions and replies to [email protected].
Publisher: HIN podcasts
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This week's featured download: Medication Adherence in 2013 — Closer Look at Compliance During Care Transitions
Medication Adherence in 2013 — Closer Look at Compliance
During Care Transitions
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July 8, 2013
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This week's industry news
1.) New Funding Will Enhance Care Coordination, Beneficiary Experience of Dually Eligible
2.) Dual Eligibles: The New Growth Opportunities Ahead for Health Plans
3.) Patient Contact Pre- and Post-Hospitalization Significantly Lowers Hospital Readmission Rates
4.) Avoiding the Readmissions Penalty Zone: Population Health Management for High-Risk Populations
5.) Healthcare Business White Paper: ACOs in 2012 — ACO Participation Doubles in 12 Months
6.) Specialty Pharmacies Pivotal in Improving Healthcare Outcomes, Lowering Costs
7.) New Chart: Top 5 Ways to Identify Individuals for Case Management
Click here to view the chart.
8.) Guide to Improving Medication Adherence
9.) White House Gives Employers More Time to Comply with Coverage Mandate Employer concerns about adhering to ACA’s health insurance mandate by the January 2014 deadline have prompted the White House to extend the deadline and change the reporting process, according to a White House blog posted by Valerie Jarrett, senior advisor and assistant to the president for Intergovernmental Affairs and Public Engagement. Get the full story. >>Return to this week's industry news
10.) 46 Healthcare Metrics to Boost Profitability: Charting 2013 Trends
11.) Value of Case Management Collaboration with Home Health, SNFs and Long-Term Care
12.) 33 Metrics for Care Transition Management
13.) Infographic: Where Does Healthcare Money Go?
14.) Moving Forward with Payment Bundling
Thank you for your readership! Please urge your colleagues to subscribe by forwarding this email or visiting http://www.hin.com/freenews2.html or by calling (888) 446-3530 or visiting the HIN Web site. While we encourage you to forward this email to your colleagues, these articles may not be redistributed in any other publication, reproduced for publication in any form, distributed on an intranet or network or by e-mail distribution or distributed for commercial purposes without the expressed written permission of the Healthcare Intelligence Network. |
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This resource examines the initiatives being developed by CMS’ Federal Coordinated Health Care Office to fund large-scale state care-integration demonstrations for dual eligibles, as well as states’ efforts to more
effectively coordinate care for these patients.
This resource delivers winning process improvements and interventions that can help organizations make measurable progress toward reducing readmissions in high-risk populations, including a look at a health
system-SNF network that has curbed rehospitalizations and length of stay for participants.
Participation in accountable care initiatives has more than doubled in the last 12 months, according to 200 healthcare companies who completed the second annual Healthcare Intelligence Network survey on
Accountable Care Organizations (ACOs). The typical ACO is smaller, too, as the number of active ACOs with 100 to 500 physicians dropped almost 50 percent in the last 12 months. This year’s survey provided new
data on other healthcare professionals in the ACO, ACO reimbursement models, and ACO impact.
Care coordination by healthcare case managers is helping to drive clinical and financial outcomes in population health management and bolster emerging models of care such as the patient-centered medical home and
the accountable care organization. We wanted to see how individuals are identified for case management.
This resource analyzes trends in improving medication adherence at more than 160 healthcare companies, and takes an in-depth look at pioneering efforts by Kaiser Permanente Colorado and CIGNA Pharmacy
Management to improve medication compliance levels in their populations.
This resource provides HIN’s second annual graphic compendium of performance benchmarks in key areas of healthcare activity and growth, a desktop reference for the healthcare C-suite that distills emerging trends
into easy-to-digest charts and tables.
This resource is HIN’s graphic compendium of performance benchmarks in key areas impacting care transitions — from key tasks performed at hospital discharge to the prevalence of home visits in programs to
improve medication adherence.
Since the idea of payment bundling was first introduced 10 years ago, justification for the episode-based reimbursement model has shifted from quality and innovation gains to its proven ability to reduce the total cost of
healthcare, notes Jay Sultan, associate vice president and chief product portfolio architect for TriZetto®. Healthcare entities testing bundled payments should keep two key factors in mind when trying to
engage physicians in the model, Sultan adds, describing the type of message most likely to foster provider support. And finally, Sultan also identifies the major decision primary care must make now that CMS has
introduced bundled payments for care coordination tasks.